Information
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Document No.
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Job Number
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PO Number
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Conducted on
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Location
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Add signature
Install Information
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work carried out / Installed
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Is the site a domestic install?
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Does the property have 2 or more RCD's protecting All power and lighting circuits
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Does the property have working and in date smoke alarms
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Is the site commercial
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Is there EM Lighting installed and working
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Is there test and tag in date
Switchboard testing
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Switchboard number
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Switchboard Location
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Main earth rod and water bond resistance
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Is the Switchboard fire sealed
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Is the switchboard labeled correctly
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Are the cables in the switchboard protected by
Electrical testing - Repete per circuit
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Circuit Number
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Neutral Number
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Phase Type
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Cable Size
- 1
- 1.5
- 2.5
- 4
- 6
- 10
- 16
- 25
- 35
- 50
- 70
- 95
- 120
- 240
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Circuit or Equipment Type
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Protection Size & Type
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Continuity Test of the Earth : Ohms
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Insulation Resistance : Megohms
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Fault Loop Impedance Test : Ohms
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Polarity Test : Equipment or Circuit
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Visual Inspection Complete
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Operational Test
I certify that the electrical installation,to the extent that is effected by the electrical work,has been tested to ensure it is electrically safe and is accordance with the requirements of the wiring rules and any other standard applying to the electrical installation under state legislation.
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Examiner's Signiture